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> Confidential Defect Report
Confidential Defect Report
Defect Report
This form is absolutely confidential and no record is retained as to the person who filed the report
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MM
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AM/PM
Aircraft Manufacturer
Aircraft Model
Major component/system affected
ATA Chapter
ATA Section
Part Defective
Manufacturer
Model
Part Number
TTIS - Hours
TTIS - Cycles
TSO - Hours
TSI - Hours
TSI - Cycles
Detection Phase
unscheduled
scheduled maintenance
Manufacturer advised
Yes
No
Found when complying with
AD
SB
Specify AD/SB reference
Description of defect
Cause
Action taken
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